Business Operations Senior Manager
Core
Own the daily health of the Payment Integrity operation, ensuring provider claims are paid correctly and free of error or waste by monitoring turnaround times, clearing backlogs, and overseeing audit accuracy.
Role type
Senior IC business operations manager
Builds
Scalable cross-functional workflows for payment integrity programs
Domain
Healthcare technology / Health insurance
Deliverable
production ML models
Required skills
Operational orchestration, SLA & quality governance, program design and launch, cross-functional partnership, efficiency optimization, AI agent management, escalation management, analytic mindset, change management
Preferred skills
Experience with AI tools and LLM-based workflows, health tech environment experience
Technologies
AI agents, LLMs
Responsibilities
Monitor turnaround times and clear backlogs to maintain optimal queue health; oversee operational performance and audit accuracy; design, test, and launch scalable cross-functional workflows; partner with vendors and stakeholders to align on priorities; identify opportunities to deploy AI agents to reduce manual processes; resolve blockers for internal teams and vendors
Seniority
Senior, hands-on IC
